Marc Z Simmons, MD - Medicare Diagnostic Radiology in New York, NY

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Marc Z Simmons, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in New York, New York. He went to State University Of Ny Upstate Medical University and graduated in 1986 and has 38 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey, Mskcc Radiology Group and his current practice location is 1275 York Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 639-2000.

Marc Z Simmons is licensed to practice in New York (license number 177239) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841208386.

Contact Information

Marc Z Simmons, MD
1275 York Ave,
New York, NY 10021-6007
(212) 639-2000
Not Available

Map and Direction




Physician's Profile

Full NameMarc Z Simmons
GenderMale
SpecialityDiagnostic Radiology
Experience38 Years
Location1275 York Ave, New York, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marc Z Simmons attended and graduated from State University Of Ny Upstate Medical University in 1986
  NPI Data:
  • NPI Number: 1841208386
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 04/07/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8325935596
  • Enrollment ID: I20040302000934

Medical Identifiers

Medical identifiers for Marc Z Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841208386NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 177239 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey014322953498
Mskcc Radiology Group3971494683176

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Marc Z Simmons allows following entities to bill medicare on his behalf.
Entity NameMemorial Sloan Kettering Cancer Center At Basking Ridge New Jersey
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184637886
PECOS PAC ID: 0143229534
Enrollment ID: O20061213000044
Entity NameMsk Monmouth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922459163
PECOS PAC ID: 1153619291
Enrollment ID: O20161005002347
Entity NameMsk Bergen
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558814657
PECOS PAC ID: 1456614114
Enrollment ID: O20180410002157

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marc Z Simmons is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marc Z Simmons, MD
633 3rd Ave, Box 3,
New York, NY 10017-6706

Ph: () -		Marc Z Simmons, MD
1275 York Ave,
New York, NY 10021-6007

Ph: (212) 639-2000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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